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Is it better to keep eating with diarrhea?

3 min read

According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), most experts do not recommend fasting when you have acute diarrhea. It is, in fact, better to keep eating with diarrhea by consuming small, frequent meals of bland, easy-to-digest foods to help your body recover.

Quick Summary

Eating small, bland meals can aid recovery during a bout of diarrhea, providing essential nutrients and electrolytes lost through loose stools. Avoiding trigger foods like those high in fat, sugar, or excessive fiber is key to preventing further irritation and worsening symptoms. Prioritizing hydration is also crucial to combat dehydration, a serious risk associated with diarrhea.

Key Points

  • Do not fast: Eating small, frequent meals of bland food is better than fasting, as it helps replenish lost nutrients and energy.

  • Follow a bland diet: Focus on easily digestible, low-fiber foods like white rice, bananas, and toast to help soothe the digestive system.

  • Stay hydrated: Replenish lost fluids and electrolytes by drinking water, broth, or oral rehydration solutions to prevent dehydration.

  • Avoid trigger foods: Steer clear of high-fat, spicy, sugary, and high-fiber foods that can worsen symptoms and irritate the gut.

  • Reintroduce foods gradually: Slowly add more variety back into your diet after symptoms subside to avoid a relapse.

  • Monitor dairy intake: Some people experience temporary lactose intolerance, so limit or avoid dairy and opt for probiotic-rich yogurt only if tolerated.

  • Seek medical advice if needed: If symptoms are severe, persistent, or include fever or blood in the stool, consult a doctor.

In This Article

The Importance of Eating During Diarrhea

When experiencing diarrhea, the idea of eating might seem counterintuitive. However, medical experts agree that eating small, frequent meals of the right foods is crucial for recovery. The body is losing essential fluids, electrolytes, and nutrients rapidly, and refraining from eating can lead to malnutrition and a prolonged recovery time. Bland foods can help soothe the digestive system, provide necessary energy, and even help bulk up stool. Conversely, avoiding food altogether can weaken your body further and make it harder to fight off the underlying cause of the diarrhea.

The BRAT and Bland Diets

For many years, the BRAT diet has been a traditional go-to for soothing an upset stomach. The acronym stands for Bananas, Rice, Applesauce, and Toast. While helpful for short-term relief, more comprehensive bland diets are now recommended to ensure broader nutrition. A bland diet focuses on foods that are low in fiber, easy to digest, and non-irritating to the gut.

Foods to include on a bland diet

  • Low-fiber starches: White rice, oatmeal, cream of wheat, saltine crackers, and plain white toast are excellent choices.
  • Lean proteins: Baked or broiled skinless chicken, turkey, or fish can provide much-needed energy without being overly fatty.
  • Cooked vegetables: Peeled and well-cooked vegetables such as carrots, potatoes (without skin), and zucchini are gentle on the stomach.
  • Probiotics: Plain yogurt with live cultures can help restore the balance of beneficial gut bacteria, but it's important to monitor tolerance, as some people may be temporarily lactose intolerant.
  • Clear broths: Chicken or beef broth is a great way to replenish fluids and sodium.

Comparison Table: Best vs. Worst Foods for Diarrhea

To help navigate your dietary choices, this table provides a quick reference on what to consume and what to avoid while managing diarrhea.

Food Category Better Choices Worse Choices
Carbohydrates White rice, white toast, crackers, cooked oatmeal Whole grains, bran, high-fiber cereals
Proteins Baked or broiled skinless chicken, turkey, eggs Fried meats, processed meats, fatty cuts
Dairy Plain yogurt (if tolerated), lactose-free milk Milk, cheese, ice cream, butter
Fruits Bananas, applesauce, peeled and cooked apples Berries, citrus fruits, high-fiber fruits with seeds
Vegetables Cooked carrots, peeled potatoes, green beans Raw vegetables, corn, broccoli, cabbage
Fats Small amounts of smooth peanut butter Fried and greasy foods, rich sauces, creamy dressings
Beverages Water, broth, electrolyte solutions, decaf tea Coffee, alcohol, soda, sugary juices, milkshakes

Hydration is Key

Staying hydrated is the number one priority when dealing with diarrhea to prevent dehydration. Diarrhea causes a significant loss of both fluids and electrolytes, which are critical for bodily function. Simply drinking water is a good start, but it doesn't replace the lost salts and minerals.

Replenishing fluids and electrolytes

  • Oral Rehydration Solutions (ORS): Solutions like Pedialyte are specifically formulated to replace lost fluids and electrolytes.
  • Broth-based soups: Clear broth is a good source of sodium and is easy on the digestive system.
  • Electrolyte-enhanced drinks: Many sports drinks or coconut water can help replenish electrolytes, though it's best to avoid those with excessive sugar.
  • Salty snacks: Plain crackers or pretzels can help replace sodium levels.

When to Reintroduce Normal Foods

As your symptoms improve, you can begin to gradually reintroduce more foods into your diet. Start with simple, low-fat options and monitor how your body reacts. Wait until you have had solid stools for a day or two before resuming your normal diet. It is wise to continue avoiding highly fatty, spicy, or high-fiber foods for a few more days to allow your digestive system to fully recover. A gradual approach prevents shocking your system and triggering a relapse of symptoms.

Conclusion

Rather than stopping eating altogether, the best strategy when you have diarrhea is to modify your diet and focus on proper rehydration. Eating small, frequent meals of bland, easily digestible foods helps restore lost nutrients and electrolytes, aiding a faster recovery. Avoiding trigger foods that can irritate the gut is just as important as choosing the right things to eat. Always prioritize fluid intake to prevent dehydration, and if symptoms persist or worsen, it is important to consult a healthcare professional. By following these guidelines, you can support your digestive system and return to your regular diet sooner.

Authoritative Resource on Dehydration

For more information on recognizing and managing dehydration during a bout of diarrhea, visit the Cleveland Clinic website.

Frequently Asked Questions

The best drinks are oral rehydration solutions (ORS) like Pedialyte, water, clear broths, and decaffeinated tea. These help replace lost fluids and electrolytes.

No, it is not recommended to eat a large, normal meal with diarrhea. Instead, opt for small, frequent meals of bland foods that are easy to digest to avoid irritating your system further.

The BRAT diet (Bananas, Rice, Applesauce, Toast) is helpful for short-term, acute diarrhea because the foods are bland and binding. However, it is very restrictive, and modern recommendations favor a more comprehensive bland diet.

Plain yogurt with live, active cultures can help restore beneficial gut bacteria, which may aid recovery. However, some people experience temporary lactose intolerance during diarrhea, so it should be consumed with caution.

You should avoid fatty and fried foods, spicy foods, dairy products (if not tolerated), high-fiber foods, and items with large amounts of sugar or artificial sweeteners.

You can begin to gradually reintroduce more complex foods after your symptoms have improved and you have had solid stools for at least a day or two. Listen to your body and go slow.

Prevent dehydration by consistently sipping on fluids throughout the day. Drink an extra cup of fluid for every loose bowel movement and include electrolyte-rich drinks.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.